Skilled nursing facility · CMS certification number 165618
Grand Meadows Senior Living & Health Care
Asbury, Iowa · Medicare and Medicaid
Certified beds, as filed in Care Compare: 32
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $16,448.00 · Payment denials: 0. The most recent penalty on file: April 23, 2024, Fine, $16,448. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,870,009 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $835,315 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,034,694 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,720,759 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$686,065 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $127,943 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$558,122 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$558,122 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 32 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 11,712 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,970 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 3,533 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,461 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 10,964 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 72 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 44 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 292 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 408 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 80.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 26.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436821, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 27, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,191,510 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $620,606 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,570,904 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,714,163 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,143,259 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,283 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,130,976 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,130,976 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,711 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 147 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 140.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1396122, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 26, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,702,606 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $644,348 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,058,258 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,614,993 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,556,735 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,904 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,531,831 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,531,831 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,711 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 147 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 140.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365454, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,141,614 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $513,446 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,628,168 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,801,633 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,173,465 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,984 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,159,481 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,159,481 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,914 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 145 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 130.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332467, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 30, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,423,082 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $744,569 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,678,513 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,634,677 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,956,164 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,181 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,942,983 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,942,983 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 32 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,185 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 167 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 114.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305676, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 9, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,054,269 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,046,750 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,007,519 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,535,328 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,527,809 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,295 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,490,514 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,490,514 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,160 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 174 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 241 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 271.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1266433, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 22, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,647,569 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $768,686 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,878,883 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,801,800 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,922,917 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,131 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,885,786 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,885,786 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,118 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 121 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 141.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1237770, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for July 12, 2017 to December 31, 2017 — a reporting period of 172 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,216,399 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $266,262 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $950,137 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,188,273 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,238,136 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,686 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,235,450 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,235,450 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 48 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,089 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 771 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 15.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1200744, read from the public cost report file SNF10FY2017.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BLOOM, RANDALL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2024 |
| BROOKS, KILEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2024 |
| CONSTACE MARIE MENDOLIA 2009 IRRV TR | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| GRAND MEADOWS SENIOR LIVING & HEALTH CARE PROPERTY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/30/2024 |
| JEWELL, SUSAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| MARY MARGARET CUNNINGHAM 2009 IRRV TR | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| TUTERA GROUP, INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/30/2024 |
| TUTERA, JOSEPH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2024 |
| WALNUT CREEK MANAGEMENT COMPANY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/07/2025 |
| WARREN, JANET | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2024 |
| SEITERA LP LLC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 10/01/2024 |
| CONSTACE MARIE MENDOLIA 2009 IRRV TR | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 10/01/2024 |
| DOMINIC FRANK TUTERA 2016 IRRV TR | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 10/01/2024 |
| HANNAH MARIE TUTERA 2016 IRRV TR | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 10/01/2024 |
| JOSEPH CHARLES TUTERA JR 2016 IRRV TR | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 10/01/2024 |
| LAURA CIRESE TUTERA 2016 IRRV TR | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 10/01/2024 |
| MARY MARGARET CUNNINGHAM 2009 IRRV TR | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 10/01/2024 |
| BLOOM, RANDALL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2024 |
| BROOKS, KILEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2024 |
| TUTERA, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2024 |
| WALNUT CREEK MANAGEMENT COMPANY LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/01/2024 |
| WARREN, JANET | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC (enrollment ID O20250528001986).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| CONSTACE MARIE MENDOLIA 2009 IRRV TR | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| GRAND MEADOWS SENIOR LIVING & HEALTH CARE PROPERTY LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/30/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| JANET C WARREN | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSEPH C TUTERA | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KILEY A BROOKS | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY MARGARET CUNNINGHAM 2009 IRRV TR | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| RANDALL BLOOM | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN JEWELL | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TUTERA GROUP, INC | Organization | ADP OF THE SNF | Not stated in the filing | 9/30/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| WALNUT CREEK MANAGEMENT COMPANY LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/7/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/31/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/31/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SEITERA LP LLC | Organization | DIRECT OWNERSHIP INTEREST | 100 | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CONSTACE MARIE MENDOLIA 2009 IRRV TR | Organization | INDIRECT OWNERSHIP INTEREST | 14 | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| DOMINIC FRANK TUTERA 2016 IRRV TR | Organization | INDIRECT OWNERSHIP INTEREST | 17.75 | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| HANNAH MARIE TUTERA 2016 IRRV TR | Organization | INDIRECT OWNERSHIP INTEREST | 17.75 | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOSEPH CHARLES TUTERA JR 2016 IRRV TR | Organization | INDIRECT OWNERSHIP INTEREST | 17.75 | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| LAURA CIRESE TUTERA 2016 IRRV TR | Organization | INDIRECT OWNERSHIP INTEREST | 17.75 | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARY MARGARET CUNNINGHAM 2009 IRRV TR | Organization | INDIRECT OWNERSHIP INTEREST | 14 | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | INDIRECT OWNERSHIP INTEREST | 1 | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| JANET C WARREN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSEPH C TUTERA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KILEY A BROOKS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANDALL BLOOM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WALNUT CREEK MANAGEMENT COMPANY LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- September 1, 2025: COREY M ROOT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LARRY EUGENE CROGHAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DAN UNMACHT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KRISTINE STEINBECK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DENNIS WAUGH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WILLIAM BROWN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WILLIAM BROWN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PAUL SCHERNER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SUSAN HANSEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BRYAN MCKEAG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARK ARNOLD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOSEPH CHARLES TUTERA JR 2016 IRRV TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HANNAH MARIE TUTERA 2016 IRRV TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JANET C WARREN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JANET C WARREN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WALNUT CREEK MANAGEMENT COMPANY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WALNUT CREEK MANAGEMENT COMPANY LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 31, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LAURA CIRESE TUTERA 2016 IRRV TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SUSAN JEWELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KILEY A BROOKS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KILEY A BROOKS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOSEPH C TUTERA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOSEPH C TUTERA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CONSTACE MARIE MENDOLIA 2009 IRRV TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CONSTACE MARIE MENDOLIA 2009 IRRV TR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RANDALL L BLOOM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RANDALL L BLOOM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SEITERA LP LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GRAND MEADOWS SENIOR LIVING & HEALTH CARE PROPERTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TUTERA GROUP, INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARY MARGARET CUNNINGHAM 2009 IRRV TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARY MARGARET CUNNINGHAM 2009 IRRV TR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DOMINIC FRANK TUTERA 2016 IRRV TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2024: MARVIN EUGENE COCAYNE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- September 1, 2025: COREY M ROOT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LARRY EUGENE CROGHAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DAN UNMACHT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KRISTINE STEINBECK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DENNIS WAUGH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WILLIAM BROWN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WILLIAM BROWN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PAUL SCHERNER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SUSAN HANSEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BRYAN MCKEAG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARK ARNOLD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOSEPH CHARLES TUTERA JR 2016 IRRV TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HANNAH MARIE TUTERA 2016 IRRV TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JANET C WARREN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JANET C WARREN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WALNUT CREEK MANAGEMENT COMPANY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WALNUT CREEK MANAGEMENT COMPANY LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 31, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LAURA CIRESE TUTERA 2016 IRRV TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SUSAN JEWELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KILEY A BROOKS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KILEY A BROOKS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOSEPH C TUTERA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOSEPH C TUTERA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CONSTACE MARIE MENDOLIA 2009 IRRV TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CONSTACE MARIE MENDOLIA 2009 IRRV TR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RANDALL L BLOOM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RANDALL L BLOOM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SEITERA LP LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GRAND MEADOWS SENIOR LIVING & HEALTH CARE PROPERTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TUTERA GROUP, INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARY MARGARET CUNNINGHAM 2009 IRRV TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARY MARGARET CUNNINGHAM 2009 IRRV TR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DOMINIC FRANK TUTERA 2016 IRRV TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: enrollment_id: O20170425001468 → O20250528001986. Skilled_Nursing_Facility_Enrollments_:_2025-09-01.csv
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 27, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 1, 2024: MARVIN EUGENE COCAYNE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 26, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 26, 2026 | March 26, 2026 | 7 | 1 |
| 2 | March 6, 2025 | March 6, 2025 | 5 | 1 |
| 3 | April 23, 2024 | April 23, 2024 | 8 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
20 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 26, 2026 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | No | Deficient, Provider has date of correction | April 16, 2026 |
| March 26, 2026 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | April 16, 2026 |
| March 26, 2026 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | April 15, 2026 |
| March 26, 2026 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | No | Deficient, Provider has date of correction | April 16, 2026 |
| March 26, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | April 16, 2026 |
| March 26, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 16, 2026 |
| March 26, 2026 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | April 15, 2026 |
| June 13, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | June 25, 2025 |
| March 6, 2025 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | March 20, 2025 |
| March 6, 2025 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | D | No | Deficient, Provider has date of correction | March 20, 2025 |
| March 6, 2025 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | March 20, 2025 |
| March 6, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | March 20, 2025 |
| April 23, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | April 24, 2024 |
| April 23, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | April 24, 2024 |
| April 23, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | April 24, 2024 |
| April 23, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Yes | Deficient, Provider has date of correction | April 24, 2024 |
| April 23, 2024 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | E | No | Deficient, Provider has date of correction | April 24, 2024 |
| April 23, 2024 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Yes | Deficient, Provider has date of correction | April 24, 2024 |
| September 14, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | October 2, 2023 |
| September 14, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | October 2, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| April 23, 2024 | Fine | $16,448 | 79395 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2017-07-12 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Dubuque |
| Telephone Number | 5635881413 |
| Chain Name | TUTERA SENIOR LIVING & HEALTH CARE |
| Chain ID | 531 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 32 |
| Average Number of Residents per Day | 29.2 |
| Overall Rating | 1 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
One email a day naming what moved on Grand Meadows Senior Living & Health Care: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On September 1, 2025: enrollment_id: O20170425001468 → O20250528001986. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for Grand Meadows Senior Living & Health Care
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Iowa at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 165618.